KATHERINE MONICA KELLY (NPI# 1659315315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659315315 |
| Entity Type | Individual |
| Full Name | KATHERINE MONICA KELLY |
| Credential | RN/NP |
| Practice Address |
703 Pro-med Ln Suite 200 Carmel IN 46032-5317 |
| Mailing Address |
Po Box 775383 Chicago IL 60677-5383 |
| Practice Telephone | 3178439922 |
| Practice Fax Number | 3175813918 |
| Mailing Telephone | 8123753000 |
| Mailing Fax Number | 8123753477 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
28122181A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71000702A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200165720A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801134275 | Katherine Mercedes Kelly | Advanced Practice Midwife | 226 Ashville Ave Ste 120, Cary, NC 27518-6660 | 2013-01-19 |
| 1851656300 | Katherine Hemming Renner Kelly | Surgery | 140 Colemans Xing Ste 100, Marysville, OH 43040-7080 | 2012-07-11 |
| 1245436997 | Katherine Anne Kelly | Dentist | 1020 E Michigan Ave, Saline, MI 48176-1525 | 2007-06-21 |
| 1407822372 | Katherine T. Kelly | Psychologist | 1001 Reynolda Rd, Stockton Cottage, Winston-salem, NC 27104-3245 | 2006-02-28 |
| 1215534433 | Katherine Kelly | Student in an Organized Health Care Education/Training Program | Potomac Behavioral Solutions, Suite 800, Arlington, VA 22202 | 2020-10-01 |
| 1548829195 | Katherine Marie Kelly | Physical Therapist | 19 Bradford St, Sonora, CA 95370-4701 | 2019-06-07 |
| 1336648278 | Katherine Kelly | Behavior Technician | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4201 | 2018-02-06 |
| 1770097206 | Katherine Michelle Kelly | Behavioral Analyst | 12 Monument Dr, Stafford, VA 22554-8508 | 2017-11-20 |
| 1427567338 | Katherine Ruth Kelly | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2017-09-22 |
| 1942725841 | Katherine Elizabeth Kelly | Counselor | 10735 S Cicero Ave, Oak Lawn, IL 60453-5400 | 2017-08-11 |
| Street Address |
703 PRO-MED LN SUITE 200 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417930173 | Bruce Hinshaw | Pharmacist | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2005-11-26 |
| 1568085173 | Scott Gregory Minnich | Social Worker | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2020-05-19 |
| 1194107417 | Kathleen Atwater | Marriage & Family Therapist | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2015-06-23 |
| 1699156695 | Marjo Doyle | Nurse Practitioner | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2015-06-15 |
| 1205238698 | Marabeth Holland | Counselor | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2014-09-17 |
| 1992113252 | Christina Falink | Social Worker | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2014-07-30 |
| 1740696921 | David Labrum | Counselor | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2014-07-08 |
| 1932526274 | Scarlet Cramer | Marriage & Family Therapist | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2014-03-25 |
| 1750723847 | Ihg Connect | Psychologist | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2013-07-18 |
| 1366883498 | Deborah Bykowski | Registered Nurse | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916595 | Victoria Furgiuele | Nurse Practitioner | 53 Harkin Rd, Carmel, NY 10512-4059 | 2020-09-10 |
| 1043824493 | Amanda Swangin | Nurse Practitioner | 12999 N Penn St, Carmel, IN 46032-5477 | 2020-09-03 |
| 1982175295 | April Starr Wiggington | Nurse Practitioner | 13090 Petigru St # 1367, Carmel, IN 46032-4436 | 2018-12-13 |
| 1790268548 | Abiola O Alalade | Nurse Practitioner | 99 E Carmel Dr Ste 150, Carmel, IN 46032-2400 | 2018-09-07 |
| 1023539863 | Nora Camille Wilcox | Nurse Practitioner | 1421 S Rangeline Rd, Carmel, IN 46032-2933 | 2017-07-02 |
| 1922545698 | Amanda Shrum | Nurse Practitioner | 598 Beaverbrook Dr, Carmel, IN 46032-4584 | 2017-01-19 |
| 1922472612 | Evan Lynn Rossi | Nurse Practitioner | 11725 N Illinois St Ste 520, Carmel, IN 46032 | 2015-11-18 |
| 1194197814 | Jennifer L Mcnair | Nurse Practitioner | 3411 Briar Cir, Carmel, IN 46033-4101 | 2015-10-21 |
| 1235516592 | Diana L Guynn | Nurse Practitioner | 13090 Petigru St, Carmel, IN 46032-4436 | 2015-05-06 |
| 1386041853 | Annamarie L Salyer | Nurse Practitioner | 11900 N Pennsylvania St., Suite 200, Carmel, IN 46032-4603 | 2014-11-29 |
| Find all providers in CARMEL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.